Sherwood Forest Hospitals NHS Foundation Trust

“The following mitigations are in place in line with CQC guidance: - A profile of when children and young people attend the ED over a 1-year period has been obtained to ensure that RNC's are rostered on at peak times. - A minimum set of core competencies that adult nurses must have completed prior to caring for a child or young person has been agreed as follows: a. Minimum of 18 months post registration experience b. Completion of paediatric intermediate life support training c. Completion of the”

“A profile of when children and young people attend the ED over a 1-year period has been obtained to ensure that RNCs are rostered on at peak times.”

“A new band 7 supervisory Nurse in Charge (NIC) role has been implemented within ED to ensure there is now visible senior support available 24 hours a day for the entire department.”

“Continuous collaborative working between ED and the division of Women and Children to develop a rotation pathway for RNC's is planned to be in place by October 2024.”

“The ED children's area rota is produced by the band 7 lead nurse a minimum of 6 weeks in advance.”

“A minimum set of core competencies that adult nurses must have completed prior to caring for a child or young person has been agreed as follows: a. Minimum of 18 months post registration experience b. Completion of Paediatric intermediate life support training c. Completion of the internal 2 day paediatric study days d. Completion of paediatric sepsis e-learning package e. Following completion of the above, an additional day shadowing a trained Registered Children's Nurse will be completed.”

“Children and Young People (GYP) escalation tool has been reviewed to ensure there is clear guidance on escalation triggers and the actions required.”

“We have now been able to determine that following referral of Mrs S to the vascular team, a letter was sent to Mrs [name redacted] (see appendix 1) on 15 July 2015; this was for an appointment on 27th July. Our Medway computer system indicates that this letter was printed on 21st July and we assume it was posted to her (see appendix 2).”